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Anthem Blue Cross Blue Shield of Georgia policies, page 7

Search Anthem Blue Cross Blue Shield of Georgia's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

572 public policies Substrate tracks for Anthem Blue Cross Blue Shield of Georgia, by title.

Anthem Blue Cross Blue Shield of Georgia policies
PolicyDetailsCodesSource
Georgia Facility and Professional Provider ManualEffective Oct 1, 2022 · Commercial · GA27Original policy ↗
Georgia Facility and Professional Provider ManualGABCBS-CM-PM-091749-25 · Effective Jan 1, 2026 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualEffective Oct 1, 2023 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualEffective Nov 1, 2023 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualEffective Jan 1, 2024 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider ManualEffective Aug 1, 2021 · Commercial · GA30Original policy ↗
Georgia Facility and Professional Provider Manual (For Commercial Products)Commercial · GA45Original policy ↗
Georgia Facility and Professional Provider Manual (For Commercial Products)Commercial · GA11Original policy ↗
Georgia Facility and Professional Provider Manual (For Commercial Products)Effective Jan 1, 2021 · Commercial · GA45Original policy ↗
Georgia Facility and Professional Provider Manual (For Commercial Products)Commercial · GA46Original policy ↗
Global Surgery -FacilityC-17003 · Effective Apr 22, 2020 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Global Surgical Package - ProfessionalC-08007 · Effective Jun 14, 2023 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI159Original policy ↗
Glossary of BlueCard TermsCommercial · GA—Original policy ↗
Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation Services - ProfessionalC-07002 · Effective Aug 13, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI1Original policy ↗
Half-Tablet ProgramCommercial · CT, GA, NH, VA—Original policy ↗
Hand TransplantationTRANS.00040 · Commercial1Original policy ↗
Health and Behavior Assessment and Intervention – ProfessionalC-11003 · Effective May 8, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI11Original policy ↗
HEDIS Benchmarks and Coding Guidelines for Quality CareMULTI-BCBS-CM-048427-23-CPN48295 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI467Original policy ↗
HEDIS ECDS Coding Booklet 2024 - MedicareMULTI-BCBS-CR-048500-23-CPN48308 · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI466Original policy ↗
HEDIS measurement year 2023–2024Commercial · GA451Original policy ↗
HEDIS Prenatal and Postpartum Care Coding Bulletin Electronic Clinical Data SystemsCommercial · CO, CT, GA, IN, KY, ME, MO, NH, OH, VA, WI36Original policy ↗
High-volume Colonic IrrigationMED.00141 · Commercial1Original policy ↗
Huddle Evaluation FormCommercial · CT, GA, NH, VA—Original policy ↗
Identifying International MembersCommercial · GA—Original policy ↗
Implanted Artificial Iris DevicesSURG.00156 · Commercial2Original policy ↗
Implants - FacilityC-14001 · Effective Mar 12, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Implementing Care Compacts to Improve Care CoordinationCommercial · CT, GA, NH, VA—Original policy ↗
Improving Medication AdherenceCommercial · CT, GA, NH, VA—Original policy ↗
In-Network Lab GuidesCommercial · CT, GA, NH, VA—Original policy ↗
Incident to Services and Billing - ProfessionalC-11002 · Effective Dec 2, 2025 · Commercial · CO, CT, GA, IN, ME, MO, NH, NV, OH, WI—Original policy ↗
Inpatient Readmissions - FacilityC-17003 · Effective Mar 25, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Intraoperative NeuromonitoringC-24002 · Effective Nov 1, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Invitation Letter to PCP PartnerCommercial · CT, GA, NH, VA—Original policy ↗
LAB.00015 Detection of Circulating Tumor CellsLAB.00015 · Commercial8Original policy ↗
LAB.00016 Fecal Analysis Panels in the Diagnosis of Intestinal DisordersLAB.00016 · Commercial3Original policy ↗
LAB.00019 Algorithmic Tests for Liver FibrosisLAB.00019 · Commercial10Original policy ↗
LAB.00024 Immune Cell Function AssayLAB.00024 · Commercial4Original policy ↗
LAB.00025 Topographic GenotypingLAB.00025 · Commercial3Original policy ↗
LAB.00027 Selected Blood, Serum and Cellular Allergy and Toxicity TestsLAB.00027 · Commercial7Original policy ↗
LAB.00028 Blood-based Biomarker Tests for Multiple SclerosisLAB.00028 · Commercial4Original policy ↗
LAB.00029 Rupture of Membranes Testing in PregnancyLAB.00029 · Commercial1Original policy ↗
LAB.00033 Protein Biomarkers for the Screening, Detection and Management of Prostate CancerLAB.00033 · Commercial7Original policy ↗
LAB.00034 Serological Antibody Testing For Helicobacter PyloriLAB.00034 · Commercial1Original policy ↗
LAB.00035 Multi-biomarker Disease Activity Blood Tests for Rheumatoid ArthritisLAB.00035 · Commercial2Original policy ↗
LAB.00037 Serologic Testing for Biomarkers of Irritable Bowel Syndrome (IBS)LAB.00037 · Commercial3Original policy ↗
LAB.00041 Machine Learning Derived Probability Score for Rapid Kidney Function DeclineLAB.00041 · Commercial2Original policy ↗
LAB.00044 Saliva-based Testing to Determine Drug-Metabolizer StatusLAB.00044 · Commercial1Original policy ↗
LAB.00045 Selected Tests for the Evaluation and Management of InfertilityLAB.00045 · Commercial5Original policy ↗
LAB.00046 Testing for Biochemical Markers for Alzheimer’s DiseaseLAB.00046 · Commercial19Original policy ↗
LAB.00048 Analysis of Urine Biomarkers for Chronic Pain ManagementLAB.00048 · Commercial1Original policy ↗

Back to Anthem Blue Cross Blue Shield of Georgia · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.

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